Edit 01288

Claim for Same Service Previously Reviewed and Denied

HIPAA Claim Adjustment Reason Code: A1
            Remark Code: N185
HIPAA Healthcare Claim Status Code: 585
            Entity Identifier Code: N/A

Potential Causes:
This edit is failed when a matching denied claim is found in claims history. The matching criteria are:

- Provider ID
- Recipient ID
- Service Date
- Procedure Code or Rate Code
- Procedure Code Modifier(s)

Solution:
The claim is not payable. Do not resubmit.